197609749-8-8-2022-31-AS-NMAN-CH6UU4-20220810155256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609749
Report Date: 05/11/2022
Date Signed: 08/08/2022 10:01:58 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/19/2022 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20220419111343

FACILITY NAME:	ENCINO GARDENS		FACILITY NUMBER:	197609749
ADMINISTRATOR:	ARUTUNYAN, ALEX		FACILITY TYPE:	740
ADDRESS:	4930 NOELINE AVE		TELEPHONE:	(818) 983-5598
CITY:	ENCINO	STATE: CA	ZIP CODE:	91436
CAPACITY:	6	CENSUS: 5	DATE:	05/11/2022
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Zoey Gevorkian		TIME COMPLETED:	11:51 AM

ALLEGATION(S):

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Staff are yelling at the residents.
Staff is rough with the resident.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA met with staff, Zoey Gevorkian, and explained the reason for the visit. The Administrator designated Zoey Gevorkian as the responsible staff member to sign and accept this report.

--- Staff are yelling at the residents.
It was alleged that the caregiver regularly yells at the residents so loud that other neighbors can hear. To investigate this allegation, on 04/20/2022, LPA made observations during a physical plant tour at 09:45 AM and interviewed staff and residents from 10:35 AM - 12:20 PM. Based on interviews and observations, it was determined that the staff are not yell at residents in care, rather, staff are raising their voices for the hearing impaired.
Based on the information revealed during interviews and observations, the allegation is UNSUBSTANTIATED at this time.
(Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20220419111343

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: ENCINO GARDENS	FACILITY NUMBER: 197609749
	VISIT DATE: 05/11/2022

NARRATIVE

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---Staff is rough with the resident.

It was alleged that staff grab and roughly jerk residents out of chairs and into wheelchairs. To investigate this allegation, on 04/20/2022, LPA made observations during a physical plant tour at 09:45 AM and interviewed staff and residents from 10:35 AM - 12:20 PM. Per LPAs observation, staff was providing an appropriate transfer assistance. Staff denied jerking residents during transfer assistance and no residents addressed any concerns regarding staff assistance. Based on observation and interviews, there is no sufficient information to determine that staff are grabbing and roughly jerking residents. Therefore, the allegation is UNSUBSTANTIATED at this time.

An exit interview was conducted, and a copy of this report was provided to the staff who was authorized to sign the report.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

LIC9099 (FAS) - (06/04)

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